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Peripheral Retinal Degenerations as a Risk Factor for Rhegmatogenous Retinal Detachment

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Peripheral Retinal Degenerations

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Abstract

Peripheral retinal degenerations are considered a risk factor for rhegmatogenous retinal detachment (RRD). The conditions causing the retinal tear are vitreoretinal traction and a predisposing retinal degeneration. The tear occurs at the sites of vitreoretinal adhesion in the peripheral retinal degeneration, when during anomalous posterior vitreous detachment the liquefied synchytic fluid penetrates into the retrohyaloid space forcing down the solid vitreous gel.

The most common risk factors for rhegmatogenous retinal detachment are vitreous liquefaction, posterior vitreous detachment, retinal tears (flap tears, dialysis), lattice degeneration, cystic retinal tufts, degenerative retinoschisis, myopia, aphakia, pseudophakia, Nd:YAG laser posterior capsulotomy, RRD of the fellow eye, family history of RRD, systemic diseases, and peripheral vitreochorioretinal degenerations.

Our long-term experience in analyzing OCT scans of peripheral retinal degenerations shows, that the most valuable classification in terms of practical importance is the one based on the depth of degenerative changes.

  1. 1.

    Intraretinal degenerations

    1. 1.1.

      Senile retinoschisis

    2. 1.2.

      White-without-pressure

    3. 1.3.

      Dark-without-pressure

    4. 1.4.

      Peripheral cystoid degeneration

    5. 1.5.

      Snowflake degeneration

    6. 1.6.

      Pearl degeneration

  2. 2.

    Vitreoretinal degenerations

    1. 2.1.

      Snail-track degeneration

    2. 2.2.

      Lattice degeneration

    3. 2.3.

      Retinal tufts

    4. 2.4.

      Peripheral retinal breaks

  3. 3.

    Chorioretinal degenerations

    1. 3.1.

      Paving-stone degeneration

    2. 3.2.

      Hypertrophy of the retinal pigment epithelium

    3. 3.3.

      Honeycomb degeneration

    4. 3.4.

      Peripheral retinal drusen

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References

  1. Saksonova EO, Zakharova GI, Platova LA, et al. Prevention of retinal detachment in patients with peripheral vitreochorioretinal dystrophies. Oftalmol Zh. 1983;38(3):151–5. (In Russian)

    CAS  PubMed  Google Scholar 

  2. Conart JB, Baron D, Berrod JP. Degenerative lesions of the peripheral retina. J Fr Ophtalmol. 2014;37(1):73–80. doi:10.1016/j.jfo.2013.09.001.

    Article  PubMed  Google Scholar 

  3. Mitry D, Charteris D, Flec B. The epidemiology of rhegmatogenous retinal detachment geographical variation and clinical associations. Br J Ophthalmol. 2010;94(6):678–84.

    Article  CAS  PubMed  Google Scholar 

  4. Van de Put MA, Hooymans JM, Los LI. The incidence of rhegmatogenous retinal detachment in the Netherlands. Ophthalmology. 2013;120(3):616–22.

    Article  PubMed  Google Scholar 

  5. Kanski J, Bowling B. Clinical ophthalmology: a systematic approach. 7th ed. London: Butterworth Heinemann; 2011.

    Google Scholar 

  6. Feltgen N, Walter P. Rhegmatogenous retinal detachment – an ophthalmologic emergency. Dtsch Arztebl Int. 2014;111(1–2):12–21.

    PubMed  PubMed Central  Google Scholar 

  7. Snead MP, Snead DR, James S, et al. Clinicopathological changes at the vitreoretinal junction: posterior vitreous detachment. Eye. 2008;22(10):1257–62.

    Article  CAS  PubMed  Google Scholar 

  8. Sebag J. Anomalous posterior vitreous detachment: a unifying concept in vitreo-retinal disease. Graefes Arch Clin Exp Ophthalmol. 2004;242(8):690–8.

    Article  CAS  PubMed  Google Scholar 

  9. Jones WL et al. Care of the patient with retinal detachment and related peripheral vitreoretinal disease. St. Louis: American Optometric Association; 2004.

    Google Scholar 

  10. Brinton DA, Wilkinson CP. Retinal detachment: principles and practice. 3rd ed. Oxford: University Press in cooperation with American Academy of Ophthalmology; 2009.

    Google Scholar 

  11. Graue-Wiechers FA, Verduzco NS. Laser treatment for retinal holes, tears and peripheral. In: Boyd S, CP W, editors. Retinal detachment surgery and laser treatment. Panama: Jaypee Highlights Med Publ; 2009. p. 47–57.

    Google Scholar 

  12. Denniston A, Murray PI. Oxford handbook of ophthalmology. Oxford: Oxford Academ; 2014.

    Book  Google Scholar 

  13. Foos RY, Wheeler NC. Vitreoretinal juncture: synchisis senilis and posterior vitrous detachment. Ophthalmology. 1982;89:1502–12.

    Article  CAS  PubMed  Google Scholar 

  14. Milston R, Madigan MC, Sebag J. Vitreous floaters: etiology, diagnostics, and management. Surv Ophthalmol. 2016;61(2):211–27.

    Article  PubMed  Google Scholar 

  15. Macaliester G, Sullivan P. Peripheral retinal degenerations. In: OT CET. 2011. http://goo.gl/PzTidM.

  16. Choudhry N, Golding J, Manry MW, et al. Ultra-widefield steering-based spectral-domain optical coherence tomography imaging of the retinal periphery. Ophthalmology. 2016;23(6):1368–74. doi:10.1016/j.ophtha.2016.01.045.

    Article  Google Scholar 

  17. Stehouwer M, Verbraak FD, de Vries HR, et al. Scanning beyond the limits of standard OCT with a Fourier domain optical coherence tomography integrated into a slit lamp: the SL SCAN-1. Eye. 2011;25(1):97–104.

    Article  CAS  PubMed  Google Scholar 

  18. Oster SF, Mojana F, Freeman WR. Spectral-domain optical coherence tomography imaging of postoperative scleral buckles. Retina. 2011;31(8):1493–9.

    Article  PubMed  Google Scholar 

  19. Fawzi AA, Nielsen JS, Mateo-Montoya A, et al. Multimodal imaging of white and dark without pressure fundus lesions. Retina. 2014;34(12):2376–87.

    Article  PubMed  Google Scholar 

  20. Shaimova VA, Pozdeeva OG, Shaimov TB, et al. Optical coherence tomography in peripheral retinal tears diagnostics. Vestn Ophthalmol. 2013;129(6):51–66. (In Russian)

    CAS  Google Scholar 

  21. Halpern JI. Routine screening of the retinal periphery. Am J Ophthalmol. 1966;62(1):99–102.

    Article  CAS  PubMed  Google Scholar 

  22. Duke-Elder S, Dobree JH. Diseases of the retina. In: Duke-Elder S, еditor. System of ophthalmology, vol. 10. London: Henry Kimpton; 1967, p. 126–7.

    Google Scholar 

  23. Okun E. Gross and microscopic pathology in autopsy eyes. Part II. Peripheral chorioretinal atrophy. Am J Ophthalmol. 1960;50:574–83.

    Article  CAS  PubMed  Google Scholar 

  24. Okun E. Gross and microscopic pathology in autopsy eyes. III. Retinal breaks without detachment. Am J Ophthalmol. 1961;51:369–91.

    Article  CAS  PubMed  Google Scholar 

  25. Okun E. Gross and microscopic pathology in autopsy eyes. IV. Pars plana cysts. Am J Ophthalmol. 1961;51:1221–8.

    Article  CAS  PubMed  Google Scholar 

  26. Rutnin U, Schepens CL. Fundus appearance in normal eyes: III. Peripheral degenerations. Am J Ophthalmol. 1967;64(6):1063–9.

    Article  CAS  PubMed  Google Scholar 

  27. Zinn K, Tilden D. Clinical atlas of peripheral retinal disorders. New York: Springer; 1988.

    Book  Google Scholar 

  28. Antelava DI, et al. Primary retinal detachment. Tbilisi (In Russian): Sabchota Sakartvelo; 1986. Boyd S, Cortez R, Sabates N. Retinal and vitreoretinal diseases and surgery. Clayton: Jaypee Highlights Medical Publishers; 2010.

    Google Scholar 

  29. Chhablani J, Bagdi AB. Peripheral retinal degenerations. In: Eye Wiki. 2015. http://eyewiki.aao.org/Peripheral_Retinal_Degenerations. Accessed 17 Oct 2015.

  30. Franchuk AA. The clinical characteristics of different types of peripheral retinal degeneration and their relationship to retinal breaks and detachment. Oftalmol Zh. 1989. 8:451–4.

    Google Scholar 

  31. Engstrom RS Jr, Glasgow BR, Foos RY, et al. Degenerative diseases of the peripheral retina. In: Duane’s ophthalmology on CD-ROM. 2006. http://www.oculist.net/downaton502/prof/ebook/duanes/pages/v3/v3c026.html.

  32. Skuta GL, Cantor LB, Weiss JS. Basic and clinical science course, retina and vitreous. American Academy of Ophthalmology: San Francisco; 2011.

    Google Scholar 

  33. Ivanishko YA, Miroshnikov VV, Nesterov EA. Primary peripheral retinal degenerations. Working classification. Indications for laser retinopexy. Okulist. 2003;44(4):6. (In Russian)

    Google Scholar 

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Authors and Affiliations

  1. Chelyabinsk State Laser Surgery Institute, Chelyabinsk, Russian Federation

    Venera A. Shaimova

  2. Center Zreniya Medical Clinic, LLC, Chelyabinsk, Russian Federation

    Venera A. Shaimova

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  1. Venera A. Shaimova
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Correspondence to Venera A. Shaimova .

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  1. Department of Ophthalmology, Chelyabinsk Laser Surgery Institute, Chelyabinsk, Russia

    Venera A. Shaimova

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Shaimova, V.A. (2017). Peripheral Retinal Degenerations as a Risk Factor for Rhegmatogenous Retinal Detachment. In: Shaimova, V. (eds) Peripheral Retinal Degenerations. Springer, Cham. https://doi.org/10.1007/978-3-319-48995-7_3

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  • DOI: https://doi.org/10.1007/978-3-319-48995-7_3

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